Should I have a full rhinoplasty or should I only have tip plasty? (Photo)

Since the lower part of your bridge is over-projected, when your bridge is lowered for a more pleasing appearance, that could lead to bridge widening. Generally, osteotomies are necessary to provide nasal narrowing. Consider meeting with several reputable rhinoplasty specialists who offer computer Imaging so you can see what might be best for you moving forward. Thank you for your question. Sincerely, Dr Joseph

What I see is a nose that is very long, with the tip pointing down. And you have that gentle bump along the bridge. Then, the 2nd photo, which is just barely a 3/4 view, seems to show wide, strong tip cartilages. All of these can be improved.

Would that be a full rhinoplasty or a tip rhinoplasty? Who cares? Certainly, the great majority of the work is on the tip, but what we call the operation really doesn't matter.

How *much* to elevate or narrow the tip, or lower the bump, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs -- particularly the large shortening of the nose -- require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.